MOLTU GUY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000974

License Status

NOT RENEWED

Business

Title

First Name

MOLTU

Last Name

GUY

Business Name

MOLTU GUY MD

Original Issue Date

11/12/2013

Effective Date

11/12/2013

Expiration Date

05/11/2014

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/12/2014